ALEXANDER ETHAN FELLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

First Name

ALEXANDER ETHAN

Last Name

FELLER

Suffix

Business Name

ALEXANDER ETHAN FELLER MD

Original Issue Date

03/03/1997

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

MOKENA

State

Zip

60448

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023